NPI | 1588403521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: HI APRN-4549) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: HI APRN-4549) |
207Q00000X Family Medicine (Licence: HI F02240933) | |
Enumeration Date | 2024-05-20 |
Last Update Date | 2024-08-19 |